Anxiety, Femoral Fractures, Music Therapy, Pain, Surgery
Conditions
Keywords
NURSING, MUSICTHERAPY, ANXIETY, PAIN
Brief summary
This randomized controlled trial (RCT) investigates the effectiveness of music therapy in reducing preoperative anxiety among elderly patients with femoral fractures. Preoperative anxiety is known to worsen physiological stability, increase pain perception, and negatively impact recovery, yet specific evidence on non-pharmacological interventions like music therapy in the orthogeriatric setting is lacking. The study will enroll 154 adult patients admitted to the Orthogeriatrics Unit for elective femoral fracture surgery. Participants will be randomly assigned to receive either a 20-minute session of music therapy or standard care. Anxiety will be measured using the APAIS scale, and pain will be assessed with the NRS scale, both before and after the intervention. The trial is designed as a blinded, prospective RCT, with data collected and managed under current privacy regulations. By generating robust data on this low-cost, safe intervention, the study aims to improve preoperative management and patient outcomes in orthopedic surgical care.
Interventions
OTHERMusic intervention
patient enrolment, administration of the APAIS and NRS scales (T0), administration of the standard music therapy/assistance intervention (20 minutes duration), re-evaluation with re-administration of the APAIS and NRS scales (T1) and completion of the CRF. The administration will take place at the patient's bedside, respecting the privacy and confidentiality of the subjects involved, guaranteeing absolute tranquillity, also with the help of dividers to avoid distractions and interruptions.
Sponsors
Azienda Unita Sanitaria Locale di Piacenza
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Masking description
Data processing will be blinded
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients of both sexes, 18 years of age or older * Patients with femur fracture who are candidates for surgery * Able to provide informed consent.
Exclusion criteria
* Patients with a diagnosis of hearing loss * Patients diagnosed with cognitive or psychiatric disorders * Patients undergoing emergency/emergency surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Difference between the Amsterdam Preoperative Anxiety and Information Scale (APAIS) at T0 and T1 | Baseline and 20 minutes after baseline | Difference in preoperative anxiety level after 20 minutes and baseline evaluated by APAIS scores between T0 and T1. The APAIS consists of six questions, with each question rated on a 5-point Likert scale (1=not at all, 5=extremely), and has a minimum score of 6 and a maximum score of 30. Higher APAIS scores indicate a worse outcome with higher levels of anxiety and a greater desire for information. |
Contacts
Primary ContactMassimo Guasconi, MSN
Outcome results
None listed